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General NPI Number Information
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NPI Number | 1558991570
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Entity Type | Organization
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Legal Business Name | INVO SURGICAL PAVILION LLC
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 20 E 46TH ST RM 304
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City | NEW YORK
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State | NY
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Zip | 10017-9286
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Country | US
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Telephone | 646-679-1100
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Fax | 888-546-2112
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | RIVER EDGE
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State | NJ
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Zip | 07661-0326
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Country | US
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Telephone | 646-679-1100
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Fax | 888-546-2112
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NILUFER GULEYUPOGLU
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Credential | MD
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Telephone | 646-679-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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